EFFICACY OF SUPRAINGUINAL VS INFRAINGUINAL APPROACH OF FASCIA ILIACA COMPARTMENT BLOCK FOR TOTAL DURATION OF ANALGESIA IN FEMUR FRACTURE SURGERY:A RANDOMIZED DOUBLE BLIND CLINICAL STUDY.
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Duration of analgesia using VAS score
研究概览
简要总结
Our goal of study is to compare two different approaches of ultrasound guided regional block for total duration of analgesia in femur fracture surgery.
70 patients will be randomly divided into two group who are posted for femur fracture surgery under spinal anaesthesia
in one group , ultrasound guided suprainguinal approach of fascia iliaca compartment block given 20 minutes before spinal anaesthesia pre operatively.
In second group, ultrasound guided infrainguinal fascia iliaca compartment block given 20 minutes before spinal anaesthesia pre operatively
Duration of analgesia will be assessed using VAS score till 48 hours as a primary outcome.
As a secondary outcome, Total number of dose of rescue analgesia given in 48 hours post procedural, ease of positioning for spinal anaesthesia EOSP SCORE, vitals parameter at timely interval till 48 hours,and if any complication then noted.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant and Investigator Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients undergoing Fracture femur surgery under subarachnoid block & likely to have pain while positioning
- •Patients conformed to American Society of Anaesthesiologists (ASA) physical status I- III in preoperative assessment
- •Ability to follow the study protocol
- •Patient able to give written and informed consent.
- •Patient able to understand VAS regarding assessment of pain.
排除标准
- •Patients with contraindication to subarachnoid block .
- •Patient with significant history of drug and alcohol abuse
- •Pre-existing lower extremity neuromuscular disorders
- •Patients with multiple fractures
- •Local infection over the injection site
- •Allergy or contraindications to the drugs used in the study ( local anaesthetics, NSAIDs, Steroid )
- •Patients with other severe comorbid conditions like Diabetes Mellitus, Hypertension, IHD, Bronchial asthma, COPD, neuromuscular and musculoskeletal disease
- •Chronic opioid use.
结局指标
主要结局
Duration of analgesia using VAS score
时间窗: till 48 hours
次要结局
- 1. Total number of rescue analgesics consumption in 48 hrs.(2. To assess ease of spinal positioning EOSP (EASE OF SPINAL POSITION SCORE))
研究者
DIVYA GAJRA
SSG HOSPITAL, GOVERMENT MEDICAL COLLEGE BARODA